Basic Information
| Provider Information | |||||||||
| NPI: | 1528012408 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ANNE | ||||||||
| FirstName: | NIRUPAMA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D., F.A.C.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 E MCBEE AVE FL 4 | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296012842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | |||||||||
| FaxNumber: | 6077985954 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 MEDICAL PARK RD STE 300 | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 292036839 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8034348800 | ||||||||
| FaxNumber: | 8034340492 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2006 | ||||||||
| LastUpdateDate: | 09/02/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 09/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 047010 | CT | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 238858 | NY | N | Allopathic & Osteopathic Physicians | Surgery | 2086X0206X | 047010 | CT | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology | 2086X0206X | 238858 | NY | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology | 2086X0206X | 88681 | SC | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology |
ID Information
| ID | Type | State | Issuer | Description | 047010 | 01 | CT | CONNECTICARE | OTHER | 06-1406459 | 01 | CT | PIONEER | OTHER | 06-1406459 | 01 | CT | TRICARE | OTHER | 7966939 | 01 | CT | AETNA | OTHER | 06-1406459 | 01 | CT | NORTHEAST HEALTH DIRECT | OTHER | 44721 | 01 | CT | HEALTH NEW ENGLAND | OTHER | 06-1406459 | 01 | CT | UNITED HEALTHCARE | OTHER | 010047010CT01 | 01 | CT | ANTHEM BCBS | OTHER | 02770854 | 05 | NY | MEDICAID | 06-1406459 | 01 | CT | PRIVATE HEALTHCARE SYSTEMS | OTHER | 06-1406459 | 01 | CT | GREAT WEST HEALTHCARE | OTHER | 3V1366 | 01 | CT | HEALTH NET | OTHER | P3936800 | 01 | CT | OXFORD | OTHER | 0303481 | 01 | CT | CIGNA | OTHER | 06-1406459 | 01 | CT | WELLCARE | OTHER | 06-1406459 | 01 | CT | MULTIPLAN | OTHER | 06-1406459 | 01 | CT | COMMUNITY HEALTH NETWORK | OTHER | 1528012408 | 05 | CT | MEDICAID |